Lawsuits can have a national impact. These two cases provide examples of lawsuits that could work their way up the system to the Supreme Court of the United States (SCOTUS) and change the application of health care law throughout the country.Stewart v. Azar. This case...
Health Care Investigations
NY pharmacist gets 6-month prison sentence for healthcare fraud
The New York State Attorney General recently sentenced a pharmacist for his role in a healthcare fraud scheme. The government accused the medical professional of filing over 1.5 million in fraudulent payments with the New York State Medicaid program. Criminal charges...
Texas doctor gets 150 months for healthcare fraud
The Department of Justice (DOJ) recently announced the sentencing of a Houston Psychiatrist for his role in a Medicare fraud scheme. The scheme allegedly involved false and fraudulent claims to Medicare for psychiatric services. These services included admission of...
Prep for Hurricane Florence pays off: 2 lessons for TX hospitals
Hurricane Florence struck the Southeast coast just days ago. Local hospitals took proactive steps to prepare for the storm, and the efforts paid off. Just days after the storm hit hospitals were able to resume normal operations.Every storm provides an opportunity to...
Over 200 in Westchester and Rockland lost Medicare privileges
Medical professionals often rely on payments from Medicare for services provided to patients. The United States Department of Health and Human Service’s Centers for Medicare and Medicaid Services administers this program and requires medical professionals meet certain...
Healthcare provider accused of upcoding
A data analytics firm has accused a healthcare provider of False Claims Act violations. The group states the provider illegally received payment for over $188 million in Medicare claims. If the suit is successful, the firm would receive a portion of the winnings. The...
Study questions physicians’ ability to report conflict of interest
It is not uncommon for physicians to receive compensation from pharmaceutical and medical device manufacturers. In many cases such compensation is legal. However, a misstep can lead to allegations of wrongdoing potentially including the illegal use of kickbacks to...
FBI ramps up investigations of physician kickbacks in Dallas
The United States Federal Bureau of Investigation (FBI) has ramped up investigations of allegations of illegal medical kickbacks to physicians and health care businesses in the Dallas area. Since May, the agency has raided at least four separate, local health care...
NY psychiatrist faces 10 years prison sentence for health care fraud
The United States Attorney for the Western District of New York has charged a local psychiatrist with health care fraud. The medical professional operates a private practice, has served with many nursing homes and has also spoken at consulting engagements for...
Tips to reduce the risk of a health care fraud investigation
The United States Department of Justice Medicare Fraud Strike Force is a government group put together with one focus: take down medical professionals and others that are committing health care fraud. As noted in a recent publication by the New York Law Journal, this...

